Roger F Suclupe

NPI #1134265358 in Harrisburg, North Carolina

Provider Information

NPI Number: 1134265358
Entity Type: Organization
Organization Name: Roger F Suclupe
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 29, 2007
Last Updated: Jul 5, 2012

Practice Location

Address: 4351 MAIN ST STE 204
City: Harrisburg
State: North Carolina
ZIP Code: 28075-7476
Phone: (704) 618-4189

Authorized Official

Name: MR. ROGER FERNANDO SUCLUPE, MSW LCSW
Title: THERAPIST
Phone: (704) 618-4189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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